Supracricoid partial laryngectomy-cricohyoidoepiglottopexy (SCPL-CHEP) and supracricoid partial laryngectomy-cricohyoidopexy (SCPL-CHP) provide useful and effective alternatives to total laryngectomy (TL). These organ preservation surgery techniques are useful for laryngeal lesions that have extended beyond the traditional indications for VPL and SGL. Unlike attempts to extend the resection margins of VPL and SGL, SCPL-CHEP and SCPL-CHP provide reliable oncologic outcomes and reproducible functional results from a fixed reconstruction technique.
A spectrum of procedures exists from smallest to largest, corresponding to a spectrum of lesions from smallest to largest. A spectrum exists for both supraglottic and glottic carcinoma. This spectrum is a useful tool for preoperative planning for organ preservation surgery. On the top of the spectrum, every other laryngeal schematic is blank. The clinician can then draw the lesion they are seeing into the appropriate point on the spectrum. The examples that are given in the spectrum are linked with the surgical procedures below. Some lesions are associated with 2 surgical procedures. This is because controversies remain in the literature concerning which is the most appropriate technique for a given lesion. Understanding these spectra helps the surgeon to see the role of the SCPLs relative to other useful organ preservation techniques.
